| Divine Mind Consultation Svcs | |
|
11256 Stoney Brook Dr Grand Ledge MI 48837-9154 | |
| (517) 343-1106 | |
| Not Available |
| Full Name | Divine Mind Consultation Svcs |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11256 Stoney Brook Dr, Grand Ledge, Michigan |
| Authorized Official Name and Position | Quiana Davis (LPC) |
| Authorized Official Contact | 5176264067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Mind Consultation Svcs 11256 Stoney Brook Dr Grand Ledge MI 48837-9154 Ph: (517) 343-1106 | Divine Mind Consultation Svcs 11256 Stoney Brook Dr Grand Ledge MI 48837-9154 Ph: (517) 343-1106 |
| NPI Number | 1508604356 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508604356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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